Tuesday, July 12, 2011

Update on my recent hospitalization

Hi bloggers,


I was hospitalized from Friday, July 8, 2011 to Monday, July 11, 2011. I was having excruiating pain during the day, and when i started my PD cycler treatment, the pain got more intensed, so i decided to stop the therapy in which i was in dwell 3 of 5 at the time. I strongly didn't believe it was peritonitits, but to be on the safe side, i disconnected my drain bag, and brought the specimen in, that i had drained so far, after arriving at the ER, I was wheeled in, because the pain was too much to bare, and walking would have been very difficult for me. My husband was told to wheel me into the ER waiting room, but as i was sitting in the wheelchair, the pain was getting so unbearable, that i stood up and started walking back and forth, and that is when the receptionist or nurse, whoever, called for some assistance, because he said i didn't look very good. There was a lady at the time inside his partition, getting registered, (and to me), she didn't look like she was in much pain or discomfort, but that is my opinion. The nurse came out and took me right in, and of course, that lady looked at me, and said in an angry like voice, why is she going in before me, (priority baby, i said to myself in all that pain, right!) and (and she gave me a very dirty look), but anyway, i was immediately taken to a room, and told to disrobe from the waist down. Boy! i was in so much pain, i couldn't even lie on the bed, it seems every way i try to get comfortable, just wasn't working for me. Of course, my vitals were taken, such as the temp, b/p and the tape substance on the finger, (to monitor my breathing of the room temperature), you know the drill. After that was done, they attempted to put an IV in place, and of course, if you read any of my previous blogs, that i stated that i have very small veins (courtesy of my mom, lol). Well anyway, the physician was in the room in no time (very unusual, from the numerous times i have visit the ER, doctors usually come in the room, maybe 45 minutes after you are attended by the nurse. He first ask what is going on with my health, and he then checks my belly, and then examines the hernia with his gloved hands, to determine what position the umblicial hernia was in. He actually called it, before i even had a CT Scan or an X-ray done. He immediately says, it could be a bowel obstruction. He gave the order to administer morphine by IV, because he wanted me to be stable, when i go to have the CT Scan and X-ray. About 15 minutes after receiving the morphine, i began to feel so much better to the point that i began to get drowsy. The results came back in 30 minutes, and it did indicate a bowel obstruction in the small intestine. I was then told that i needed to have a tube in place, to drain anything from my stomach and intestines. The tube was thread through my nose, i was very devastated by this, because i truly don't like anything in my nose, (you would think this wouldn't be frightening to me, because of all i have been through these past 20 some years, right!), well like i said, i don't like nothing up my nose. I was then told to place my chin in my chest and drink some water from a straw, while the nurse begans to thread the tube into my nose, that felt so strange and funny to me, but i got through it. Though the tubing was very irriating and i had a great deal of discomfort from it, i notice when i tried to swallow, it was a little difficult and it hurt also, so you know i was trying to keep from swallowing, but that is just a human instinct to swallow, you can't avoid it, in which i tried my best, but no dice, i still had to swallow from time to time. I also found it very difficulty to speak, so i wasn't doing much talking while this tube was in my nose. The tubing was finally removed by the neph, on Sunday evening. I was also getting daily injections in my stomach of heparin, in which i despised (lol). I have been coping with this hernia since 2006, and wasn't having any pain or discomfort of any kind, until February of this year, i had to seek attention at ER, three times, because the hernia wouldn't go back in when i lie down, so it had to be pushed back in, three times, but this time, it was so severe. This hernia has truly wreak havoc on my body. As a warning for anyone who chooses PD for that form of dialysis treatment and you maybe small framed like myself, be aware of the possibility of the development of a umblicial hernia, this occurs over time, because of the amount of dialysate that is being dwelled in the abdomen. I think in my opinion, that if they are aware that the patient is very small framed, that the prescription for dwelling should be at a minimum, so that it won't be taxing on the body and can cause a hernia to develop, usually when a hernia develops the patient has to return to hemo temporary, until the hernia repair heals, but in my case, because of my ten years of dealing with graft accesses and catherers, my veins are truly shot, i only can dialyze in the right groin, and that is very risky, because of the high risk of infections and clotting issues, however, i did go through this back in 2006, when i had to go back to hemo temporary, because of the development of a fungus, in which my PD catherer had to be completely removed, and that is when they told me that i had an existing hernia, in which i wasn't aware of, it wasn't even visible at all, so they call themselves repairing a non-existing hernia (in my opinion), but soon after the hernia was repaired, about a month later, i did developed a hernia that was very visible. I am scheduled for surgery tommorrow, to have a temporary cath put in place in my right groin for temp hemo, in which i should only be on hemo for a couple of months, and then i will have another PD catherer put in place to return to PD. I will keep you posted on my progress, throughout this ordeal with temporary hemo. That is it for now, all the best to my bloggers. And again, thank you guys so much for those very uplifting, touching and spiritual words of hope. Much Love Glo

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